HomeMy WebLinkAboutBLD21182 Shop - BLD Permit / Conditions - 11/10/1987 Shorelines: /y,� Plunbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:-re,
Mobile Hcme
Smoke Detector:
oozing:
Remarks:
Setback: /i - e r
Foundation
Walls:r
Framing:
Fireplace:
Wood Stove:
TYPE SHOP
Permit No. 21182 No, Floors Sq Ftg 480
Owner GRAHAM, Stan Te1�691 Date 11-10-87
Address E 26 Springwoo Ct She tom n Zlp
Contractor Self
Address
Legal Descrip 11 tion s ip
Direction toproject itewood Lot 1
Same address as above
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
20x24
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BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED IC52D A 7
PERMIT NO.
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER :c Crt v\ J -n �'Jc:
DIRECTIONS
TO JOB SITE
LEGALPARCEL
NUMBER ��� /� �� �DGY�/ DESC
NAME MAILADDRESS CITY STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING
WORK CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
DESCRIBE �-
WORK �7G
axe
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
J
AFFIDAVIT CONTRACTORS AFFIDAVIT
THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
ON LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
NTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
DATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION C
YES NO YES NO ��q�•,
HEALTH PUBLIC WORKS FEE
PLANNING ^ t FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK -
SPECIAL CONDITION BUILDING GROUP PRE-INSPECTION
�y / SHORELINE
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WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION j.r/fJ
TOTAL ty�
'�' J �!/1t �� BY _� CASH CK MO
PLOT PLAN
ADDRESS 0 r �� W C� PERMIT NO.
0
LEGAL
DESCRIPTION LOT , BLK ADDITION u
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq.Ft.
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.)
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION A"'D SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF.
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
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I/We certify that the proposed construction will conform to the dlmensidns and uses shown above and that no changes will be made without
first obtaining approval.
NAME(S) OF OWNER 3) OF SITE 6 STRUCTURE(S) (PRINT) GN TURE OF ER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE r
APPROVED
DISTRICT AS NOTED DATE
CHRISTMASTOWN PRINTING